Minimal mucosal thickening is seen lining the right maxillary sinus. Lateral scout view of the nasopharyngeal region demonstrates no evidence of adenoidal or tonsillar hypertrophy. IMPRESSION: Dysplastic appearing left incus and malleus, abnormal articulation between the incus and the malleus and absent stapes on the left. All these appear to be congenital abnormalities. Normal right temporal bone.